| Page (PDF) | 65 |
|---|---|
| Certificate Number | 14441 |
| Name of Deceased | not named [child of Annie West] |
| Place of Death | Wicomico |
| Town of Death | Quantico |
| Sex | F |
| Race | negro |
| Married, Widowed, or Single | infant |
| Date of Birth | 9/16/1913 |
| Age (year, month, days) | 1mos 2 ds |
| Occupation or Employer | infant |
| Birthplace | Maryland |
| Father's Name | Morris? Winder |
| Father's Birthplace | Maryland |
| Mother's Name | Anie Hane? West |
| Mother's Birthplace | Maryland |
| Informant (Relationship and Address) | J ? West; Quantico |
| Date of Death | 10/18/1913 |
| Cause of Death and Time Attended by Doctor | mother gave one dose of Godfrey's cordial |
| Immediate, Secondary, or Contributory Cause and How Long | – |
| Physician and Address | J H Carpenter; Quantico Md |
| Burial Place, Date, Undertaker, and Address | Prices? Cemetary; 10/19/1913; James Jones; Quantico |
| Length of Residence, Where Disease Contracted, Former Residence | – |
| Other Notes | – |
If you are citing this record, please use the following format:
[Author (if known)], Maryland Death Certificates (Somerset, Wicomico, Worcester Counties), 1910-1922, [Date (if known)], Enduring Connections: Exploring Delmarva’s Black History, Nabb Research Center, Salisbury University.
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